Organization
EYE CENTER OF SOUTHERN CONNECTICUT, P.C.
Active
Other names
Looking Glass Optical Shop
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL E MASI MD (PRESIDENT)
(203) 248-6365
Entity
Organization
Contact information
Practice address
415 HIGHLAND AVE, CHESHIRE, CT 06410-2555
(203) 272-5494
Mailing address
415 HIGHLAND AVENUE, CHESLURE, CT 06410
(203) 272-5494
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004067435
—
CT
01
—
0674910004
DMER
CT
Enumeration date
11/27/2006
Last updated
10/01/2018
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